Individual provider · Type 1 NPI

Blake Montana Bigeagle

Peer Specialist · Vinita, OK

NPI number 1073226817 Active

Practice location

405 E Excelsior Ave
Vinita, OK 74301-4226

Call (918) 559-9957 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1073226817

Blake Montana Bigeagle's National Provider Identifier is 1073226817, issued on Dec 26, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vinita, OK. The record was last updated on Dec 26, 2022.